Evidence map›Paper›PMID 42848298›Full record

ReviewCardiovascular drugs and therapy2026

Omega-3 Fatty Acids in the Management of Cardiovascular Disease Prevention.

Simone Finocchiaro, Luigi Cutore, Costanza Bordonaro, Carmelo Cusmano, Diego Nastasi, Francesco Nasisi, Davide Capodanno

Abstract readReview
PubMed Publisher
In one paragraph

Review in Cardiovascular drugs and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Simone FinocchiaroDivision of Cardiology, Azienda Ospedaliero-Universitaria "G. Rodolico - San Marco", University of Catania, Via Santa Sofia, 78, Catania, Italy.
Luigi CutoreDivision of Cardiology, Azienda Ospedaliero-Universitaria "G. Rodolico - San Marco", University of Catania, Via Santa Sofia, 78, Catania, Italy.
Costanza BordonaroDivision of Cardiology, Azienda Ospedaliero-Universitaria "G. Rodolico - San Marco", University of Catania, Via Santa Sofia, 78, Catania, Italy.
Carmelo CusmanoDivision of Cardiology, Azienda Ospedaliero-Universitaria "G. Rodolico - San Marco", University of Catania, Via Santa Sofia, 78, Catania, Italy.
Diego NastasiDivision of Cardiology, Azienda Ospedaliero-Universitaria "G. Rodolico - San Marco", University of Catania, Via Santa Sofia, 78, Catania, Italy.
Francesco NasisiDivision of Cardiology, Azienda Ospedaliero-Universitaria "G. Rodolico - San Marco", University of Catania, Via Santa Sofia, 78, Catania, Italy.
Davide CapodannoDivision of Cardiology, Azienda Ospedaliero-Universitaria "G. Rodolico - San Marco", University of Catania, Via Santa Sofia, 78, Catania, Italy. davide.capodanno@unict.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOmega-3 polyunsaturated fatty acids lower triglycerides and modulate inflammation, thrombosis, and endothelial function, providing a rationale for their use in cardiovascular prevention. This review examines the influence of formulation, dose, and patient selection on clinical outcomes.

methodsA targeted PubMed search through 31 May 2026 informed the selection of randomized trials and relevant mechanistic and observational studies, complemented by guideline and regulatory documents and selected publications added during revision.

resultsLow-dose mixed eicosapentaenoic acid (EPA)/docosahexaenoic acid (DHA) formulations were generally neutral in contemporary prevention trials. JELIS reported fewer major coronary events with EPA 1.8 g/day (2.8% vs. 3.5%; hazard ratio 0.81). In REDUCE-IT, icosapent ethyl 4 g/day reduced major ischemic events (17.2% vs. 22.0%; hazard ratio 0.75), whereas STRENGTH found no benefit with 4 g/day EPA/DHA (12.0% vs. 12.2%; hazard ratio 0.99). Differences in biological exposure, placebo choice, and pharmacological properties may contribute to these findings, although their relative importance remains debated. Evidence for stroke, heart failure, and peripheral artery disease varies by population and endpoint, while higher-dose therapy requires attention to atrial fibrillation and bleeding.

conclusionCurrent evidence supports prescription icosapent ethyl in selected statin-treated patients with persistent hypertriglyceridemia, with treatment guided by cardiovascular risk, formulation, and dose rather than considering omega-3 preparations as an interchangeable class.

Indexed as

Cardiovascular preventionDocosahexaenoic acidEicosapentaenoic acidHypertriglyceridemiaIcosapent ethylOmega-3 polyunsaturated fatty acids

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.